Munson Healthcare Charlevoix Hospital

Charlevoix, MI · Critical Access Hospital

Posts prices for 41 of the 66 common shoppable procedures we track. Price file retrieved 2026-10-07.

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ProcedurePosted cashPosted gross× Medicare
Breast lesion removal (open) (19120) $5,502.90 $6,474 1.4×
Diagnostic colonoscopy (45378)
range across 2 matching MRF lines
$634.95–$649.40 $747–$764 varies
Epidural injection, lumbar/sacral (with imaging) (62322) $684.25 $805 0.8×
CT head/brain without contrast (70450) $870.40 $1,024 8.4×
MRI brain without contrast (70551) $2,402.95 $2,827 10.1×
MRI brain with contrast (70552) $2,211.70 $2,602 6.4×
MRI brain without and with contrast (70553) $4,936.80 $5,808 14.2×
X-ray lower spine, 4+ views (72110) $207.40 $244 2.0×
MRI lumbar spine without contrast (72148) $2,040.85 $2,401 8.6×
CT pelvis with contrast (72193) $1,103.30 $1,298 6.3×
MRI lower-extremity joint without contrast (73721)
range across 8 matching MRF lines
$2,068.90–$2,074.85 $2,434–$2,441 varies
CT abdomen and pelvis with contrast (74177) $2,204.90 $2,594 6.3×
Ultrasound, abdomen complete (76700) $564.40 $664 5.4×
Ultrasound, pregnant uterus (≥14 weeks) (76805) $564.40 $664 5.4×
Ultrasound, transvaginal (76830)
range across 7 matching MRF lines
$282.20–$290.70 $332–$342 varies
Mammography, one breast (diagnostic) (77065)
range across 14 matching MRF lines
$243.10–$250.75 $286–$295 varies
Mammography, both breasts (diagnostic) (77066)
range across 6 matching MRF lines
$290.70–$299.20 $342–$352 varies
Mammography, screening (bilateral) (77067) $289.85 $341 3.2×
Basic metabolic panel (80048) $62.05 $73 7.3×
Comprehensive metabolic panel (80053) $103.70 $122 9.8×
Lipid panel (80061) $73.95 $87 5.5×
Renal function panel (80069) $80.75 $95 9.3×
Hepatic function panel (80076) $40.80 $48 5.0×
Urinalysis, non-automated, with microscopy (81000) $36.55 $43 9.1×
Urinalysis, non-automated, without microscopy (81002)
range across 5 matching MRF lines
$30.60–$35.70 $36–$42 varies
PSA, total (84153)
range across 5 matching MRF lines
$10.66–$119.85 $12.53–$141 varies
Thyroid stimulating hormone (TSH) (84443)
range across 4 matching MRF lines
$28.25–$112.20 $33.23–$132 varies
CBC with automated differential (85025) $56.10 $66 7.2×
CBC, automated (85027) $45.05 $53 7.0×
Prothrombin time (PT) (85610)
range across 6 matching MRF lines
$8.27–$44.20 $9.72–$52 varies
Partial thromboplastin time (PTT) (85730)
range across 3 matching MRF lines
$39.24–$53.55 $46.16–$63 varies
Psychotherapy, 30 minutes (90832) $192.10 $226 1.1×
Psychotherapy, 45 minutes (90834) $237.15 $279 1.3×
Psychotherapy, 60 minutes (90837) $223.55 $263 1.3×
Family psychotherapy, with patient (50 min) (90847) $250.75 $295 1.4×
Electrocardiogram (ECG), complete (93000)
range across 3 matching MRF lines
$85.85–$131.75 $101–$155 varies
Sleep study (attended polysomnography) (95810) $2,859.40 $3,364 3.3×
Physical therapy, therapeutic exercise (per 15 min) (97110) $68.85 $81 2.4×
Office visit, new patient (low complexity, ~30 min) (99203) $115.60 $136 0.9×
Office visit, new patient (moderate complexity, ~45 min) (99204) $115.60 $136 0.9×
Office visit, new patient (high complexity, ~60 min) (99205) $115.60 $136 0.9×

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.

As a Critical Access Hospital, Medicare pays this facility about 101% of its own costs. The × Medicare column compares the cash price against that cost-based benchmark, not a standard rate.

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Download the machine-readable file (CSV, 1.2 GB) ↓ — captured 2026-10-07

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